Individual
ANEESH ATUL BAPODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236
(210) 292-7805
(210) 292-7868
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, JBSA-LACKLAND, TX 78236-5638
(210) 292-7805
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101274610
VA
Other
Enumeration date
04/10/2020
Last updated
08/07/2023
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